STACEY MATERN D.C. NPI 1407294846

NPI Information

  • NPI: 1407294846
  • Provider Name: STACEY MATERN, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 1444 147TH AVE NE
    SUITE 250
    HAM LAKE, MN
    ZIP 55304
  • Phone: (763) 208-5382

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NPI Details

Stacey Matern, D.C. is a chiropractor in Ham Lake, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Stacey Matern, D.C. NPI is 1407294846. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1444 147TH AVE NE
SUITE 250
HAM LAKE, MN
ZIP 55304-971
Phone: (763) 208-5382
Fax: (763) 208-2911

The enumeration date for this NPI number is 6/7/2013 and was last updated on 6/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor5811MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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